Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

Winer, Rachel L.; Gonzales, Angela A.; Noonan, Carolyn; Cherne, Stephen; Buchwald, Dedra

doi:10.1007/s10900-016-0189-3

Cited by 34 publications

(46 citation statements)

References 42 publications

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“…Recent evidence suggests that vaginal self‐obtained samples provide sensitivity and specificity equal to clinician‐collected specimens for detecting high‐risk HPV types and cervical intraepithelial neoplasia 2+ . HPV self‐testing acceptability, feasibility and satisfaction studies among Indigenous and ethnic minority women found that HPV self‐testing is preferable to cervical cytology, and potentially eliminates barriers to cervical screening …”

Section: Introductionmentioning

confidence: 99%

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Adcock

Cram²,

Lawton

et al. 2019

Aust NZ J Obst Gynaeco

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Background: Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self-collected vaginal samples (self-testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women. Aims:This study aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. Materials and Methods:Community-based researchers ran hui with women in four regions (N = 106) and supported hui participants to collect survey data (N = 397). Healthcare providers (HCPs) were also interviewed (N = 17). Hui data were thematically analysed. Survey data were analysed by age group, rural/urban, primary health organisation (PHO) enrolment, and time since last cervical screen.Results: Most survey participants were PHO-enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakamā (embarrassment/shyness/reticence), was the most frequently cited barrier. Three in four women reported being likely/very likely to do an HPV self-test. Nine in ten women reported being likely/very likely to attend follow up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the importance of health literacy, cultural competence and empathetic support. Conclusion:The findings indicate that with a culturally competent introduction of HPV self-testing, many currently never/under-screened Māori women would be willing to be screened and followed up if necessary. HPV self-testing has the potential to save lives. K E Y W O R D Scervical screening, HPV self-sampling, HPV self-testing, Indigenous health, Kaupapa Māori

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Section: Introductionmentioning

confidence: 99%

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Adcock

Cram²,

Lawton

et al. 2019

Aust NZ J Obst Gynaeco

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“…On the other hand, receptivity by women who actually performed self-sampling is high in other countries [26], and about 90% of women who perform self-sampling also have a positive impression of the use of the self-sampling kits in our study. In addition, it is clarified that 97.4% of the subjects prefer self-sampling to sampling by a clinician and this is higher than (62.0%) in a survey performed by Winer et al [19],clarifying that young Japanese women strongly prefer self-sampling compared with women in other countries.…”

Section: Discussionmentioning

confidence: 71%

“…Furthermore, there was no social harm or adverse events recorded in previous studies. However, there is a lack of studies that discussed awareness, preference, recognition/perception, and anxiety of women to self-sampling [17][18][19][20][21]. In a previous study of a community-based Canadian women, there was not a significant difference of preference between a Pap smear test performed by clinician or selfsampling, although they indicated a preference of self-sampling, due to comfort and personal feelings [22].There is no other study on the reasons of young women wanting or not wanting to perform selfsampling.…”

mentioning

confidence: 99%

Awareness of Young Japanese Women on HPV Self-Sampling Trial using Opt-in Method

Tada¹,

Ito²,

Nagai³

et al. 2019

Preprint

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BackgroundThe rate of young Japanese women attending Cervical Cancer screenings is still low. There is a lack of studies that discussed awareness, preference, and anxiety of women to HPV self-sampling. The aim was to clarify the awareness of young women who want and do not want HPV self-sampling toward improvement the rate of attending Cervical Cancer screenings.Methods We carried out the observation study by self-administered questionnaires about the awareness of HPV self-sampling with the trial in a city, in Hokkaido, Japan. The subjects were selected at random to 25-29 years old women (837 persons) residing in a city. We compared their awareness between want and do not want self-sampling. For data analysis, statistical analysis software SPSS for Windows Ver.21 was used setting the significance level at below 5%.ResultsYoung women in this study who firstly responded wanting practice of self-sampling were 9.8%, and not wanting in were 90.2%. The reasons of young women that want self-sampling were “Free self-sampling supported from the city”, “I can do it in my own time”, and “I have experience of sexual intercourse”. In contrast, the reasons of do not want self-sampling were “I have no symptom”, and “I am anxious about doing the test by myself”. The awareness of HPV self-sampling was low with all subjects, and they have few the general knowledge of Cervical Cancer. ConclusionThere is a possibility to increase the number of young women who want self-sampling by using an HPV self-sampling trial of the opt-in method that also considers the emotions of the women. Young Japanese women who do not want self-sampling, tend to have a fear and anxiety toward self-sampling, in contrast, many of the women who conducted self-sampling prefer it. This study suggests the need of new practical education for self-sampling, including HPV infection, and Cervical Cancer prevention performed by clinicians, nurses and midwives.

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“…In comparison to Pap tests it was seen as a positive experience which women were happy to repeat and recommend to others, also documented in numerous self-sampling trials. [18][19][20][21] Importantly, women mentioned they would not have participated in screening had this not been available.…”

Section: Discussionmentioning

confidence: 99%

Uptake and acceptability of human papillomavirus self-sampling in rural and remote Aboriginal communities: Evaluation of a nurse-led community engagement model

Dutton

Marjoram

Burgess

et al. 2020

Preprint

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Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened and under-screened Aboriginal women to participate in cervical cancer screening; assess the clinical outcomes; and explore the acceptability of the model from the perspective of the participants.Methods: Aboriginal women aged 25-69 years of age were recruited from eight rural and remote communities in New South Wales, Australia to participate in HPV self-sampling via a community-based service model. Outcome measures were: number of women screened by HPV self-sampling, their prior cervical screening status (under-screened or never-screened), clinical outcomes and participation in follow-up pathways of care, and satisfaction with the service model.Results: In total, 215 women conducted a HPV self-sampling test and 200 evaluation surveys were completed. One-fifth of participants (n=46) were never-screened and one-third (n=69) were under-screened. Many were unsure of their screening status. Nine women were HPV 16/18 positive and eight had completed all follow up by the conclusion of the study. A further 30 women tested positive for a high risk type other than HPV 16/18 (HPV other), of which 14 had completed follow up at the conclusion of the study. Satisfaction with the HPV self-sampling kit, the process of self-sampling and the service model was high (>92% satisfied on all items). Many women had difficulty understanding their official HPV results and placed high importance on the nurse explaining it to them.Conclusions: A community-based service model that respects Aboriginal Women’s Business can effectively recruit under-screened and never-screened Aboriginal women to complete cervical cancer screening. Furthermore, this service model supports them to complete recommended follow-up care and engage with their local existing health services.

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Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

Cited by 34 publications

References 42 publications

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Awareness of Young Japanese Women on HPV Self-Sampling Trial using Opt-in Method

Uptake and acceptability of human papillomavirus self-sampling in rural and remote Aboriginal communities: Evaluation of a nurse-led community engagement model

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